Published: 2022-07-27

The relationship of patient satisfaction level with word of mouth on health services: systematic review

Puteri Fannya, Daniel Happy Putra, Deasy Rosmala Dewi


Health services, especially in hospitals, are now increasingly required to provide excellent service to patients. One of easy way for patients to get information about services is to ask someone who has received the same service before. This is called word of mouth (WOM). This research was conducted using the literature review method. The data was synthesized by comparing 5 literatures that met the inclusion and exclusion criteria. The database sources were Google scholar and PubMed. Data is processed and presented in tabulated form. From 5 literatures that have been reviewed, there were 4 articles stating that there was a significant relationship between patient satisfaction and WOM on health services. The smallest significance number is =0.000, and the largest coefficient value is 0.533, which means that the increasing of patient satisfaction unit will cause a change in WOM to health services by 53.3%. There is only 1 article that finds that there is no relationship between patient satisfaction and WOM with a value of 0.117. There is a significant relationship between patient satisfaction and WOM on health services. Health services such as hospitals should pay attention to patient satisfaction, because it greatly affects the image of the hospital in customer’s point of view.


Patient satisfaction, WOM, Health care

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Saputra AD, Hidayat MK. The Effect of Service Quality and Word of Mouth on Patient Satisfaction at Prima Husada Hospital Malang. J RSPH Khafid. 2018;9(2):236-46.

Wuda RL, Suprapti NWS. The Influence of Service Quality on Satisfaction and Word of Mouth at Guido National Hospital Valadares Dili Timor Leste. E-J Ekonomi Bisnis Universitas Udayana. 2017;6(11):3887-916.

Purbandari E, Sugandini D, Sutiono HT. Word of Mouth as A Consequence of Customer Satisfaction. J Service Management Marketing. 2018;11(1):179-86.

Optimasi D, Irawan B, Suroso I. The role of service quality in building satisfaction and word-of-mouth communication for outpatients at the Dr. Soebandi District Hospital Jember. J Bisnis Manajemen. 2018;12(2):191-203.

Primantara IMW, Jatra IM. The Role of Satisfaction in Mediation of Service Quality to Wom at Husadha Surya Public Hospital Denpasar. E-J Manajemen Unud. 2017;6(7):3794-819.

Li-Chun Hsu. Investigating Effect of Service Encounter, Value, and Satisfaction on Word of Mouth: An Outpatient Service Context. Int J Enviromental Res Public Health. 2018;(15):132.

Tjintiadewi NK, Rahyuda IK. The Influence of Service Quality and Price Perception on Patient Satisfaction and Wom at Prima Medika General Hospital. E-J Manajemen Unud. 2018;7(11):6184-211.

Wibowo HK, Junaidi S. The Impact of Service Quality, Patient Satisfaction, and Trust on Positive Word of Mouth (WOM) of Dental Clinic’s Patients. J Int Conference Proceedings. 2019;2(3):68-78.

Kotler P, Keller KL. Marketing Management. 14th Edition. Eaglewood Cliffs, New Jesey, Prentice Hall. 2011.

El Ouardighi F, Feichtinger G, Grass D, Hartl RF, Kort PM. Advertising and Quality-Dependent Word-of-Mouth in a Contagion Sales Model. J Optimization Theory Applic. 2016;170(1):323-42.